HomeMy WebLinkAbout11-11822 CITY OF ZEPHYRHILLS �
• 5335 - 8TH STREET
�sis��so-oozo 11822
BUILDING PERMIT
Permit Number: 11822 Address: 38521 NAOMI AVE
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: OAK PARK
Est. Value: Parcel Number: 02-26-21-0050-00000-0150
Improv. Cost: 2,000.00
Date Issued: 4/27/2011 Name: BIRBECK, ALBERT
Total Fees: 127.50 Address: 38521 NAOMI AVE
Amount Paid: 127.50 ZEPHYRHILLS, FL. 33542
Date Paid: 4/27/2011 Phone: (813)300-3080
Work Desc: ENCLOSE GARAGE AREA 8 X 12
I 7.5 .
HOMEOWNER
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FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the following reasons: a) wrong address b) aondemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d) work not ready for
inspection when called e) permit not posted on job site � plans not at job site g) work not accessibie.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
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CON CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
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Contractor/Homeowner: /� � � , �-- L,�C,�
Date Received: � /� l`
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Permit Type: � � � ' _ �, ���<< �`:1<�C � �
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Approved w/no comments: ❑ Approved w/the below comments: � Denied w/the below comments: ❑
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This comment sheet shall e kept with the permit and/or plans. �
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�� � Kalvin itze ans Examiner Dat Contractor and/or Homeowner
(Required when comments are present)
APPENDIX 13-D
Effective March 1, 2009
FlORIDA ENERGY EFF1C[ENCY CODE FOR BUILDING CONSTRUCTION �
FORM i 100B-08 Residential Com onent Prescr( tive Method B
Compliance witfi Method B of Chapter 11 of the Aorida Buil�ng Code, Residential, or Subchapter 13-6 of the Aorida BuildFng Code, Buiiding, may 6e d monsf� d by the u e
of Form 1 i00B for single-and multiple-farnily residences of three storfes or less in height, additions to existing resideMiai buildtngs, renovations to existing residemial
buiidfngs, new heating, cootlng, and water heating systems in exis�np buiidings, and site-added compone�s of manufactured homes and manufactured 6uildings.To comply,
a building must meet or exceed ail of the energy effiolency requiremerrts on Tab(e 11 B-1 and all appifcable mandatory requirements summarized in Table ii B-2 of this form. If
a buiiding does not comply wfth this method, it may stlll comply under Method A of Chapter 11 orSubchapter 13-6 of the app(fcable code.
PROJECTNAME: 1" �°GIC, eYn�(G BUILDER: O WV1er ..
AND ADDRESS: � � m� ��, p�MITTING � '7
F1' FI. OFFICE: C r G� L'P � i' �'
OWNER: l �,. '�,, e� pERMITNO.: �
JURISDfCTION NO.: O
1. New construction including add(tions whlch incorporate any of the following features cannot comply using this method: skylights or othernonvertical roof gfass, glass areas
(n excess of i 6 per�ent of conditioned floor area, and electric resisfance heat (See Nofes to Table 11 B-1 on paga 2).
2 Flil in all tfie appiicable spaces of the'To Be (nstalled" sofumn on °Table 11 B-1 with the information requested. All "To Be Installed" vafues must be equal to or more efficient
than the required levels.
3. Complete page 16ased on the "To Be Installed° column information.
4. Read "Minimum Requirements for All Packages", Table 11 B-2 and check each box to indicate your intent to comply with all applicabfe items.
5. Read, sign and date the "Prepared By" certification stafement atthe bottom of page 1. The owner or owners agent must also stgn and date the form.
Pfease Print CK
1. New construction, addition, or existing building i, is'f' fcl
E� Ren,alG1
2. Single-famify defached or muitipfe-famify atEached 2, SI N
3. ff muftipfe-famify-h1o, of unifs covered 6y this submission ---
3 . _-_.-_
4. Is this a worst case? (yes/no) 4 � �
5. Conditioned floor area (sq. fE.) 5. �b�' L�
6. Glass fype and area:
a. U-factor 6 a. ,( 5
b.SHGC 6 � . �
c. Glass azea 6c. �� sq. ft.
7. Percenfage of glass fo ffoor area
8. Ffoor 7 • � %
iype, area or perimefer, and insulation:
a Slab-on-grade (R-value) 8a. R- �- �/
b. Wood, raised (R value) - _.�.�.! lin. ft.
c. VTood, common (R-value) $b ' R- sq.ft.
d. Concrete, raised (R value) $�' R° sq. ft.
e. Concrete, common (R value) $d ' R° sq. ft.
8e. R= sq.ft.
9. WaII type, area and insufation:
a. En�ferior: 1. Masonry (Insulation R-vaIue)
2. Wood frame (Insula$on R-value) 9a - 1 ' R- Sq• �
9a-2. R= 1.3 7� sq.ft.
b. Adjacent: 1. Masonry (Insuladon R-value)
2. Wood frame (Insuladoa R-value) 96�1' R= $� sq. �
96-2. R= sq. ft.
10. Ceiling type, area and insulation:
a Under attic (lnsularion R-value)
b. Sing]e assembly {Insulation R value) i0a. R= I 9 Sq,{}, 3D
i06. R= SQ �
i 1. Air disfribuNon system: Dtict insulation, location
Test report required if duct in uncondi6oned s ace i 1 a. R=�_
P 11 b.Test report atEached? Yes �
12. Cooting system: • 12a. Type:
(Types: cential, room unit, package texminal A.C., gas, none) 126. SEER/EER:
13. Heating sysfem: 12c. Capacity;
(TYPes: heat PumP. elec. striP, nat gas, LP-Gas, Sas hp_, room or PTAC, none) 13a. Type:
136. HSPF/COP/AFUE:
14. Programmable thermosEat insfalled on HVAC sysfems: 13c. Capacify:
15. Hot water system: i4' Yes H°
(Types: elec., nat as, Lp_ 15a. Type:
g gas, solaz, heat rec., ded, heat pump, other, none)
. 15b. EF:
I hereby certify thffi the pl d specifications covered 6y the calculation are in compliance wiU� Review of plans and specUicaSons covered bythis calculaLon indicates compqance with the Rorida
the fiorida Energy Code. Energy Code. Before consW ctlpn fs co lete is ng will be inspected for compliance in
PREPARED BY: accordanoe wtth Section 553.90BoF�
DATE �S I� ���
I hereby id � n c pe �yl y tryep�rida Energy Cod� '/���� BUILDING OFFIC lC
OWNFAAG �6t// DATE7
DAT • � �
2007 FLORIDA BUILDING CODE-BUILDING
13-D23
APPEND[X 13-� --�
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* TABLE 11B-1 MINIMUM REQI! EMEHTS (See Hote 1� Ail Climate Zones
BUfLDING COMPONENT pERFORMANCECRITERIA INSTALLED VALUES:
U-Fac r= 0.65 U Fa r=
Windows (see Note 2): SHG = 0.35 S G =
%o CFA<=16% of FA=
Ez[erior door e W d or insuiated T a
Wails — Ext and Adj. (see Note 3):
Frame -13 -Va e =
Mass (see Note 3)
Interio�ofwall: -6 -V ue=
Exteriorofwali: R-4 R-V lue=
Electric resistanca heat See Note'10 Not etlowed
Ceiiin s see Notes 3& 4 R=30 R- a�ue =
Roors: Siab-on-grade No 2quirement R aiue =
Over uncondtloned s aces see Note 3 R-13
Hot water systems (storage type)
Electric (see Note 5): 40 gal: EF = 0.92 allons =
50 gal: EF = 0.90 —
Gas fired (see Note 6): 40 gai: EF = 0.59 Gallons =
50 aI:EF=0.58 EF=
Airconditionin s tems seeNote7 SEER=13.0 SEER=
Heat pump systems (see Note S) EER =13.0 SEER =
SPF = 7.7 HSPF =
Gas fumaces FUE = 76 % AFUE _
Oil furnaces FUE = 78% AFUE _
Pro rammable thermostat see Note 10 ust be installed on all HVAC s stems. Installed? Yes No
Duchvork (see Note 9) LocaUon:
UncondiGoned space' -6, TESTE� J UncondiUoned space
Conditioned space d l R-Vaiue =
Unvented atGc assembiy per Fi806.4 with insulation at the roof plane 4.2 Test report:
f Conditioned space
� R-Value =
No test re ort re uired
Air Handler location:
UncondUoned attic° or garage Re ires test repor[ Location:
Condi[ioned space or Test report:
Unvenfed attic assembl er R806.4 with insu�ation at the roof Iane No duct tes re uired
(1) Each component present in the As-Built home must meet or exceed each of the applica6le performance criteria in order to comply with ihis code using this meihod; ofh-
erwlse Method A compliance musi be used.
(2} Windows and doors qualitying as glazed fenestration areas must comply with both the maximum U-Facfor and the maximum SH6C (Solar Heat Gain Coefficient) criteria
and have a maximum total window area equal to or less fhan 16% of the conditioned floor area (CF�), othenvise Method A must 6e used for compliance. Exceptions: i. Ad-
ditions of 600 square feet (56 m or less may have maximum glass to CFA of 50 percent. 2. Renovations with new windows under>_ 2 foot overhang whose lower edge does
not extend furtherthan 8 feetfrom the overhang may have tinted giazing or doubie-pane c(ear glazing. Replacemeni skylights installed in renovations shali be doublepaned
or single paned with a diffuser.
(3) R-Values are for insulation material only as applied in accordance with manufacfurers' instalfation instructions. For mass walis, the "interior of wail" requirement (R-6)
must be met except if at least 50% of the R-4 Insulation value required for the "exterior of wall" is fnsfalled exterior of, or integral to, the wall.
(4) Attic knee walis shail be insufated to same level as ceilings and shail have a positive means of mainfaining insulation in place. Such means may include rigid insulation
board or air barrier sheet materials adequately fastened to the attic sides of knee wall framing maferials.
(5) For other electric storage volumes, minimum EF= 0.97 -(0.00132 * volume).
(6) For oiher natural gas storage volumes, minimum EF= 0.67 -(0.0019 * volume).
(7) For all conventional units with capacities greaterthan 30,000 Btu/hr. For Smail-Duct, High-Velocity units, Space Constrained units, and units with capacities less than
30,000 Btu/hr see Table i3•607AB.3.2A oi the Florida Building Code, Building, or Table Ni i 07.AB.3.2A of the FJorida Building Code, Aesidentlal.
(8) For all conventional unifs with capacities greater than 30,000 Bfumr. For Small-Duct, High-Velocify units, Space Consfrained units, and units with capacities fess than
30,000 Btu/hf see Ta61e 13-607.AB.326 of the Florida Building Code, Building, or Table N1107A8.3.26 of the Florida Building Code, Residential.
(9) All ducts and air handlers shail be either located in conditioned spa�e or tested hy a Class 1 BERS rater to be "substantialiy" leak free. "Substantially leak free" shali mean
distribution system air leakage to outdoors no greater than 3 cfm per 100 squara feet of conditioned fioor area at a pressure differentiai of 25 Pascal (0.10 in. v�c.) across the
entire air distribution system, inciuding the manufacturer's air handler enciosure. Exception: New or replacement du�ts installed onto an existing air distributlon system as
part of an add(tion or renovation. Such ducts shail either 6e insulated to R-6 or be installed in conditioned space.
10)'fhe prohi6it(on on electric reslstance heat and the requiremenf for programmable thermostats do not apply to additions, renovations, and new heating systems instalfed
in existing buildings.
TABLE 11 B-2 MINIMUM REQUIREMENTS FOR ALL PACKAGES
COMPONENTS SECTION REQUIREMENTS CHECK
Exterior Joints & Cracks ' N1106.AB.1.2 To be caulked, asketed, weathervstri ed or othenvise seaied.
Extedor Windows & Doors N1106.A6.1.1 Ma�c .3 cfrNs .ft window are •.5 cfmis .ft, door area.
Sole & To Plates N1106.A6.1.21 Sole lates and anetra8ons throu h to lates of exterior walls must be sealed.
Recessed Ll htin N110&AB.124 T e IC reted with no enetra8ons o altematives allowed .
Multlsto Houses N1106AB.12.5 Airberrieron arimeteroffloorcavi belweenfloors.
Exhaust Fans Nt i O6.AB.1.3 �aust fans veMed to unconditioned space shall have dampers, except for combustion devices with integraf
e�aust ductwork.
Water Heatere N1112AB.3 Comply with efficiency requirements fn Table N1112.A6.3. Sxn'tch w clearly marked circuit breaker electric or cutoff
as must be rovided. E�demai or buffi-in heat tre re uired fo'r verGcal i e risers.
Spas & heated pools must have covers (except solar heate�. Noncommerciaf pools must have a pump timer. Gas
Swimming Pools & Spas N1112.AB.2.3.4 spa & pool heaters must have minimum thertnal efficiency of 78%. Heat pump pool heatere shall have a mfnimum
CAP ot 4.0.
Hot Water Pi es N1112A8S Insuletlon Is re ulred forhot water droulatin stems mcludin heat recove units .
Shower Heads N1112A82.4 Water flow must be restrtcted to no more than 2.5 ations er minute at 80 si .
HVAC Duct Construction, All ducts, fitGngs, mechanicai equipmeM and plenum chambere shall be mechanically ettached, seaied, insulated /
insulatlon & InsteltaBon N1110.AB and installed in accordance with the criteria of Section N1110.A6. Ducts in attics must be insuiated to a minimum of �/
R-6.
HVAC Controls N1107AB2 Se arete readil accessble manual or automatic thertnostat for each stem.
i3-D24 2007 FLORIDA BUIlDING CODE—BUILDING
• DISCLOSVRE S�'�'F*�*�'r' .FOR OWI�R
CITY OF ZEPHYRHSZ?�S BL12�DING DEPARTD�NT
= have read aad fully uriderstand and
agree �to the provisions of •this inst'��ent •
The undersigned .states and affirms 'tha't he or she is desirous of constructing,
res�ovating, addiag to or seroofiag his or her osrn domioile tliat he or she
said do�ira:le, and same is not for
actually ocaupies, or wi11 occupy by �_ � �e fol].owiag conditions:
•rent, lease or sa1e. That he or she sha11 comply
1_ �hat the owues and_he or she alone sha11 act as t�e builder for a11 Phases of
construction .
2. Tizat the owner wi11 comply with a11 provisions of �the City of Zephyrhills
ordinances and codes �*'{'' neut to the buildi.ag •
3. That in t�e avent various phases of construction are subcontsacted, he will
engage only•properly licensed subcontsactors and will personally supervise
such work.
q, Tlzat in the event the Buildiag Inspector sha11 re?�ire corrections to be made,
the owner will ass�e full responsil�ility te iasuse "t�eY are made � a�d �pon
completion wi11 ca13 for a reinspectioa before proceeding with the building.
5. That the owner sha11 assume full respcnsibil1tY for the construction and wi11
not axpect_ supervision of his vvork from the CitY of Zephyrhills Building
Departm�t .
6. That prior to final inspection any add.itional fees, includ�-aJ =e�nSPection
fees, must be paid ixi fu11. A written requ�st from this office sha11
consti.tute an official notice - to pay additional fees .
7. That the owner sha11 comply vrith all City, State and Federal laws in regard to
social secr-urity, wcrkmau's co�peasation, lien 1aws, ete., where applicable.
B. That the owner sha11 comply with a11 the safety codes issued by the Florida
Industrial Cr++mm� ssion.
9. 5tate 1aw rec� coastsuction to be done by licensed contractors. You have
applied for a permit uxider an exe�p'tioa to that law. The ex�ption a1los�rs
you, as the owner of your property, to act as your owu caatractor with certaia
restrictions even though you do not have a license. You must provide direct
onsite supervisiori of the coastruction yourself. You may build or improve a
one-family or twe-family resideace or a fa� outbuilding. You may also build
or improve a commercial build�.ag, provided your costs do not exceed $25,DOD.
The building or residaace must be for yovr o�vti use or occupancy. It may not
be built or substantially improved for sale or lease. If you sel:l or lease a
building you have built or substautially improved yourself �ithin 1 year after
the construction is complete, the 1a�v vri11 pres�e that you built or
substantially improved•if for sale or laase, which is a violation of this
EX emption. You may not hire au un].icarasad persoa to act as yovs contsactor or
to supervise people working on your build�.ug. It is your =�sponsibility to
make sure that people �ployed by you have licesises rez+ by state law and
by county or municipal licensing ordinances. You may aot delegate the
responsibility for supervising work to a licensed contractor who is not.
1ic�sed to perform the xork beiag dnae. Any person workiag on yovs buildiag
who is not liceased must work under your direct supervision and must be
P�p loyed by you, which meaas that you mus�t deduct F.I.C.A. and withholding ta�c
and�provide workers' c�� *+�atioa for that smployee, all as prescribed by law.
Your const-suction must comply vvith a11 applicable 1aws, ordiaances, building
codes, and zoning rec3ulati
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OWNER' S SIGfTAT[7RE na�rF:
ADDRESS
PHONE
WITNESS �•RMTT #
s��-�ao-oo?o City of Zephyrhilis Permit Application Fax-813-780-0021
Building Department
Date Received phone Contact for Permittln D —
a�
Owner's Name � G Owner Phone Number
f � Owner's Address �� Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS (7 LOT # �
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR �
PROPOSED USE � SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTAGE HEIGHT ��
OBUILDING $� � Q(� VALUATION OF TOTAL CONSTRUCTION
�ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ I f ��1 .'v
(,�j ( !/
�1'I
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��
QGAS 0 ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
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BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address ' License #
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y! N FEE CURRE� Y/ N
Address License #
PLUMBER � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License #
ti
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License #
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License #
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitar�r Facilities 8 1 dumpster; Site Work Permit for subdivisions/large projects
COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction.
. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. A11 commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
"**PROPERTY SURVEY requlred for all NEW construction.
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (A/C upgrades over 57500)
'" Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor{s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the "owner" prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work wilt be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Flo�ida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone "V" unless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the �II material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this a�davit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
�
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFOR RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117 03 \
OWNER OR AGENT CONTRACTOR
Subscribed and swom to or aflirmed) before me thfs Subscribed and swom to (or afflrmed) before me this
by bY
Who is/are personally known to me or has/have produced Who islare personally knovm to me or has/have produced
as idenHficatlon. as identificatlon.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped
R W R W Building Consultants, Inc.
B Consulting and Engineering Services for the Building lndustry
C I'.O. Box 230 VaJrico. FL 33595 Phone 813.659.9197 Facsimile 813 754.9989
Florida Board of'Professional Engineers Certificate of Authorization No. 9813
Product Evaluation Report
Report No.: FL 6163.1 R1
Date: December 1 G. 2408
Product Category: Windo��s
Product sub-category: Single Hung
Product Name: 2100 Series - Model 211 I
Extruded Vinyl Single Hung Window
"Non Impact"
Manufacturer: Silverline Building Prodacts Corporation
Oi�e Silverline Drive
North Brunswick, N) 0$902
Phone — 732.435.1000
Scope: This is a Product Evaluation report issued by R W Building Consultants, Inc. and Lyndon F.
Sclunidt, P.E. (System ID # 1998) for Silverline Building Products based on Rule Chapter No.
9B-72.070, Method 1 d of ti�e State of Florida Product Approval, Department of Community
Affairs-Florida Building Commission.
RW Building Consu3tants and Lyndon F. Schmidt, P.E. do not have nor will acquire financial
interest in the company manufacturing or distributing the product or in a��y other entity involved
in lhe approval process of the product named herein.
This product Itas been evaluated for use in locations adhering to the Florida Bui)ding Code (2007
Ed ition).
See Drawing No.: FL 6l 63.1 prepared by R W Building Consulta�3ts, Ine. and signed and sealed
by Lyndon F. Schmidt, P.E. (FL # 43409) for specific use parameters.
�
Lyndon F. Schmidt, P.E.
FL No. 43409
December 16, 2008
Pe- vc�� sn��t � �f�
Limitahons
1. This product has been evaluated and is in compliance with the 2007 Florida Building Code
structural requirements excluding the "High Velocity Hurricane Zone".
2. Product anchors shall be as listed and spaced as sl�own on details. Anchor embedment to
base material shall be beyond wall dressing or stucco.
3. When used iu areas requiring wind horne debris protection, this product is required to be
protected with an i2npact resistant covering that complies with Section 1609.1.2 of the
Florida Building Code.
4. For 2x stud fi•aming construction, anchoring of these units shall be tl�e same as that shown
for 2x bucl: masonry construction.
5_ Site conditions that deviate from the details of drawing FL-6163.1 require further
engineei7ng analysis by a licensed engineer or registered architect.
6. See drawing FL-6163.1 for size and design pressure limitations.
�� ` ��
Lyndon F. Schmid�, P.E.
FL No. 43409
December 16, 2008
P1' y�� Sheet 2 of 3
Supporting Documents
A Drawing
1. Drawing No. FL 6163.1 prepared by R Vd Building Consultants, Inc. (Florida Board of
Professionai Engineers Certificate of Authorization No. 4813) signed and sealed by Lyndon
F. Schmidt, P.E.
B Tests Performed
1 Testing per AAMA/WDMA/CSA 101/1.5.2/A440-OS as performed by Architectural
Testing, [nc. and reported in test report number 73077.01-I09-47, signed by Michael D.
Stremmel, P.E.
2 Testin� per AAMA/WDMA/CSA 101/1.S.2/A440-0� as performed by Architech�ral 7esting
1nc. and reported in test report number 74450.01-109-47, si�ned by Michaei D. StremmeE
P.E.
3. Testing per AAMA/WDMA/CSA 101/I.S.2/A440-OS as performed by Architectural
Testing Inc. and reported in test report number 64764.01-Id9-47, sia»ed by Michael D.
Stretnmel P E.
C Caicutations
1. Product anchoring is in accordance with manufacturer's published recommendations as
substantiated by tested specimens reported in test report numbers 01-44453.01, 74450.01-
]09-47 a��d 64764.01-109-47.
2. Buck anchor analysis for laading conditions, prepared, signed and sealed by Lyndon F.
Schmidt. P.�.
D Other
1. Certificate of Participation issued by National Accreditation & Management Institute, lnc.,
certifying that Silveriine Building Products is manufacturing products within a quality
assurance program that compiies with ISO/IEC 17d20 and Guide 53.
�
Lyndon F. Schmidt, P.E.
FL No. 43409
December ] 6, 2008
YF 907 Sheet 3 of 3
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Florida Building Code Online Page 1 of 4
, � �. �
�� ' i
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� Product Approval
• tas USER: Public User
� Product Aooroval Menu > Prod � or A�oli ation ar h> Aoolication List > Application DeWil
� i FL # FL10701-R1
,,� b . a
� Application Type Revision
' " Code Version 2007
� ��a � Application Status Approved
- f Comments
Archived
; Product Manufacturer JELD-WEN
r Address/Phone/Email 3737 Lakeport Blvd
Klamath Falls, OR 97601
(800) 535-3936
fbc@jeld-wen.com
i Authorized Signature Janet Gerard
fbc@jeld-wen.com
,E
,.�
Technical Representative Steve Saffell
Address/Phone/Email 3737 Lakeport Blvd
Y Klamath Falls, OR 97601
(541) 882-3451 Ext2900
stevesa@jeld-wen.com
Quality Assurance Representative
Address/Phone/Email
' Category Exterior poors
�. Subcategory Swinging Exterior poor Assemblies
Compliance Method Certification Mark or Listing
�
Certification Agency National Accreditation & Management Institute,
Validated By National Accreditation & Management Institute,
,�
Referenced Standard and Year (of Standard) Standard Yeai
AAMA/NWWDA/101/I.S.2-97 199;
ASTM E330 200:
ASTM E331 200(
Equivalence of Product Standards
Certified By
Product Approval Method Method 1 Option A
Date Submitted 04/20/2009
Date Validated 03/03/2010
http ://www. floridabuilding.org/pr/pr_app_dtl. aspx?param=wGEVXQwtDqv... 4/ 18/2011
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p ay� pue panowaa si anpisa� ��e a�ns 6ui�ew �� 6 6ij
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uip w ysiui} lou o4 �ea�e aa��-�snp e ui ysiui� . � �� si 6wlsnfpe �� •�Gessa�au �i �m(py •sapis ��e uo s�ea
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